Question 2095
{"accessible":false,"alternatives":[{"id":10400,"text":"embolization of the middle meningeal arteries is associated with approximately a third of patients needing further surgery."},{"id":10401,"text":"microcatheter DSA of the middle meningeal artery branches in the setting of large chronic subdual hemorrhage demonstrates characteristic findings of hypervascularity and micro-aneurysms."},{"id":10402,"text":"platinum coils are used to occlude the middle meningeal artery proximally, to avoid dangerous anastomoses with the ophthalmic artery."},{"id":10403,"text":"randomized controlled trials have demonstrated that middle meningeal artery embolization to treat subdural hemorrhage should only be carried out in patients who have failed surgical management. "},{"id":10404,"text":"subdural hemorrhage is characterized histologically by rupture of bridging veins into the border cell matrix on the inner aspect of the meningeal dura."}],"archived":false,"correctAlternativeId":10401,"explanation":"\u003cp\u003eEmbolization with glue (not coils) has been shown to be useful in treating chronic subdural hematomas, with infrequent need for further surgery (\u0026lt;10%, compared to 28-30% with surgical drainage). Currently (2021) no large randomized controlled trials have yet been published, but they are in progress and are expected to show that embolization is a useful primary treatment for subdural hemorrhages.\u0026nbsp;\u003c/p\u003e","id":2095,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2313","nextQuestionPath":"/articles/subdural-haemorrhage/questions/1622","relatedArticles":[],"alsoUsedIn":[{"id":984,"kind":"Course","title":"2021 Virtual Conference Private Use - page 984","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/984"},{"id":984,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 984","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/984"},{"id":984,"kind":"Course","title":"2022 Virtual Conference Private Use - page 984","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/984"},{"id":970,"kind":"RestrictedPage","title":"Page 970 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/970"},{"id":955,"kind":"RestrictedPage","title":"Page 955 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/955"},{"id":1,"kind":"LiveSchedule","title":"1","link":"https://radiopaedia.org/admin/live_schedules/1"},{"id":18,"kind":"LiveSchedule","title":"18","link":"https://radiopaedia.org/admin/live_schedules/18"},{"id":921,"kind":"Course","title":"2021 Virtual Conference Private Use - page 921","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/921"},{"id":921,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 921","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/921"},{"id":921,"kind":"Course","title":"Interventional Radiology Lectures - page 921","link":"https://radiopaedia.org/courses/interventional-radiology-lectures/pages/921"}],"stem":"\u003cp\u003eWhich of the following statements regarding arterial embolization for subdural hemorrhage is \u003cstrong\u003eTRUE\u003c/strong\u003e?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2095"}],"attemptsPercentages":[{"alternativeId":"10403","percentage":6},{"alternativeId":"10401","percentage":48},{"alternativeId":"10404","percentage":32},{"alternativeId":"10400","percentage":8},{"alternativeId":"10402","percentage":7}],"promptToLogin":false,"questionManager":false,"articleId":"subdural-hemorrhage"}